# LYNNETTE JOHNSON LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750694253
- **Authorized official:** LYNNETTE ELAINE JOHNSON MA, MFT, LADC (DIRECTOR)
- **Authorized official phone:** (702) 434-1564

## Contact information

- **Practice address:** 1641 E FLAMINGO RD, SUITE 7, LAS VEGAS, NV 89119-5257
- **Practice address phone:** (702) 434-1564
- **Practice address fax:** (702) 434-6704
- **Mailing address:** 1641 E FLAMINGO RD, SUITE 7, LAS VEGAS, NV 89119-5257
- **Mailing address phone:** (702) 434-1564
- **Mailing address fax:** (702) 434-6704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 01060 | NV | Yes |
| 251S00000X | Community/Behavioral Health Agency | 01060 | NV | — |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 10/19/2012